| Code | Description | Claims | Beneficiaries | Total Paid |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
2,249 |
2,232 |
$258K |
| A4554 |
Disposable underpads, all sizes |
6,911 |
6,849 |
$237K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
1,743 |
1,727 |
$165K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
3,838 |
3,799 |
$126K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
402 |
397 |
$55K |
| A4335 |
Incontinence supply; miscellaneous |
7,552 |
7,472 |
$40K |